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CMS Nursing Home Compare · March 2026

Avera Rosebud Country Care Center

126 S Logan Ave, Gregory, SD 57533

Avera Rosebud Country Care Center, a 30-bed non profit - corporation nursing facility in Gregory, SD, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6058358296

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4 / 5
Above average · CMS overall · nat'l 3.0
4.71
Well above average · nurse hrs/day · nat'l 3.89
9
Inspection findings · 1 serious
$0
Federal penalties (0)

Health Inspection

4/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
435029
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
30
Residents
30
In Hospital
No
County
Gregory
Last Inspection
Feb 13, 2025

Staffing Data

How the 4.71 total nursing hours per resident-day are staffed:

RN Hours
1.15 (nat'l avg: 0.68)
LPN Hours
0.56
CNA Hours
3.00
Total Nursing Hours
4.71 (nat'l avg: 3.89)
PT Hours
0.02

What the CMS Record Reveals About Avera Rosebud Country Care Center

Avera Rosebud Country Care Center operates 30 certified beds in Gregory, SD with approximately 30 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 9 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues, if any, did not rise to the enforcement threshold. Staffing is reported at 4.71 total nursing hours per resident day (national average 3.89), with RN coverage at 1.15 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Avera Rosebud Country Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (9 most recent)

E - Pattern - Minimal harm Feb 13, 2025 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Mar 30, 2025

E - Pattern - Minimal harm Feb 13, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 17, 2025

E - Pattern - Minimal harm Feb 13, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 30, 2025

E - Pattern - Minimal harm Feb 13, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 30, 2025

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Mar 17, 2025

D - Isolated - Minimal harm Jan 23, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 8, 2024

D - Isolated - Minimal harm Jan 23, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 8, 2024

E - Pattern - Minimal harm Oct 26, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 10, 2023

G - Isolated - Actual harm Aug 25, 2022 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 21, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 6.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 36.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Avera Rosebud Country Care Center?
Avera Rosebud Country Care Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at Avera Rosebud Country Care Center?
Avera Rosebud Country Care Center reports 4.71 total nursing hours per resident day (national average: 3.89). RN hours are 1.15 per resident day (national average: 0.68).
How many beds does Avera Rosebud Country Care Center have?
Avera Rosebud Country Care Center has 30 certified beds with approximately 30 residents. The facility is located at 126 S Logan Ave, Gregory, SD 57533.
Does Avera Rosebud Country Care Center have any deficiencies on record?
Yes, Avera Rosebud Country Care Center has 9 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Avera Rosebud Country Care Center received any fines or penalties?
No, Avera Rosebud Country Care Center has no fines or penalties on record.
Who owns Avera Rosebud Country Care Center?
Avera Rosebud Country Care Center is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Avera Rosebud Country Care Center last inspected?
The most recent health inspection for Avera Rosebud Country Care Center was on Feb 13, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Avera Rosebud Country Care Center?
Avera Rosebud Country Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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